Stephanie Reisdorf

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8119-S Issued in NV

Practice address

1515 E Tropicana Ave Ste 580
Las Vegas, NV 89119-6517

Phone

(702) 898-5311

NPI assigned

Oct 6, 2013

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephanie Reisdorf, LLC

  dba Sunrise Therapy

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1831893239
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1831526888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 SHARPSBURG AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418687",
            "telephone_number": "702-289-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TROPICANA AVE STE 580",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196517",
            "telephone_number": "702-898-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISDORF",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-06",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8119-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Reinold
• Carmen Reinoso Diaz
• Fatima Reinoso
• Diane Reinstadtler
• Donald H Reisch, MD
• Michael Todd Reiss, D.C.
• Sara Ann Reiss, RC
• Bethany Elizabeth Reistetter, MS, CPC-I, LCADC-I
• John Reitano, M.D.
• Elizabeth A Reiter, D D S LTD

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.